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1. Today's date (Required.)

Date

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2. Overall how satisfied were you with this class? (Required.)

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3. Do you plan on attending another class? (Required.)

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4. Are there any specific topics you would like for us to cover in the future? (Required.)

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5. How did you hear about us? (Required.)

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6. If you would like to learn about future classes, please comment with your first and last name and email address.  I understand that by providing my  name and email address, I agree to receive emails from UPMC. I understand that I may opt out of receiving such communications at any time. (Required.)

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7. Do you have any other constructive feedback? (Required.)

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